Gwathney, Jamal Kavon

Gwathney, Jamal Kavon is an individual health care provider with primary practice located at 3720 Martin Luther King Jr Ave Se , Washington DC 20032-1548. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gwathney, Jamal Kavon can be contacted via phone (202) 279-1800.

Contact Information

Primary practice address
3720 Martin Luther King Jr Ave Se Washington DC 20032-1548
Phone: (202) 279-1800
Fax: (202) 279-4349
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD35077 District of Columbia

Profile Details

NPI number 1265470181
LBN Legal business name Gwathney, Jamal Kavon
Credentials MD, MPH, FAAFP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Mar 8th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1265470181 NPPES
District of Columbia MEDICAID 036832600

Popular Providers